Vitiligo is a disease which results in the loss of skin colouring pigment and ultimately the person loose his or her skin colour in blotches. The rate and to what extent the colour loss will happen is always unpredictable. When the Melanocytes cells lose their ability or get destroyed completely, the human skin starts losing it's skin colour produced by these Melanocyte cells. Vitiligo can generally affect skin present of any body part. Vitiligo is a common disease and it affects almost one million people every year all over the world. The disease can affect a person of any age.

Causes of Vitiligo

There are different causes due to which Vitiligo is caused. Let us have a look :

Vitiligo can happen due to an autoimmune disorder, when the immune system becomes overactive and results in the destruction of the colour pigment-producing cells i.e. the Melanocytes.
Vitiligo is also believed to affect people because of genetic factors. The immune system can get affected by the genes and results in a loss of skin colouring melanocytes. It can be hereditary and gets passed on. However, it is not at all contagious and cannot be passed on to someone else.
Harmful exposure to UV rays can cause the body to loose melanocyte cells. Heavy sunburn is also a common cause of the disease.
A stressful life schedule or oxidative stress imbalance can easily make the melanocyte cells to go weak and eventually wither away.
A foreign virus or bacteria which may enter into the immune system and if not destroyed affects the melanocytes in different parts of the body.
Treatment for Vitiligo-

Vitiligo Treatment or White Patches Treatment is based on improving your skin s appearance by restoring its colour. Re-pigmentation treatment is most successful on face and trunk; hands, feet and areas with white hair respond poorly. Compared to long-standing patches, new ones are more likely to respond to medical therapy.

The treatment can be classified into

Medical

Medicines applied to the skin, such as:
Corticosteroid creams or ointments
Immunomodulator creams or ointments, such as Elidel & Protopic
Topical drugs such as methoxsalen (Oxsoralen)
Oral Medical treatment includes the use of immune-modulating drugs such as systemic corticosteroids, levamisole, cyclophosphamide, azathioprine, vitamin supplements (especially vitamin B12 and folic acid).
Phototherapy NBUVB full body   A medical procedure in which your skin is exposed to ultraviolet A (UVA) or ultraviolet B (UVB) light from a special lamp in full body chambers.
Excimer (Targeted Phototherapy)   Targeted phototherapy, also called concentrated phototherapy, focused phototherapy and microphototherapy, involves delivery of ultraviolet radiation directly focused on, or targeted at, the skin lesion through special delivery mechanisms.
Surgical Procedures

Surgical treatment   Normal skin is used as donor tissue and then grafts are surgically transplanted on areas of Vitiligo treatment. The new skin grafts start producing pigment. Patients who are candidates for this procedure must have stable Vitiligo, or Vitiligo that has not changed for at least one year. The criteria of stability is taken as (a) no new White patches, (b) no extension of existing White patches and (c) no loss of pigmentation of previously repigmened patches for at least 1 year. This procedure can be used for patients with limited areas of Vitiligo and also in those with more extensive disease.
Melanocyte cell transplantation   In this procedure, a skin graft is taken from the patients own thigh, this skin is then treated with an enzyme known as trypsin which separates all the layers of the skin and thus Melanocytes and Keratinocytes are concentrated. The Vitiligo (Skin White Spot) skin is then removed with the use of diamond burs or Lasers and the cells are transplanted. The advantage of this procedure is that cell culture is not needed and that skin harvesting from the donor area, preparation of cell separation and application of Melanocytes can all be undertaken in a single 3-h procedure.
Blister Grafting   In this procedure, blisters are created on your pigmented skin primarily by using suction. The tops of the blisters are then cut out and transplanted to a depigmented skin area where a blister of equal size has been created and removed.
Punch grafting  Punch grafting is the simplest and the least expensive of all the grafting procedures in Vitiligo. The procedure involves the transfer of circular pieces or punches of skin tissue from the donor area into similar shaped pits that are made on the recipient skin. The size of these punches can range from 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin.
De-pigmentation  Depigmentation involves fading the rest of the skin on your body to match the already-white areas. If you have vitiligo on more than 50 percent of your body, depigmentation may be the best treatment option. In this procedure, the drug monobenzone (Benoquin) is applied twice a day to the pigmented areas of your skin until they match the already-depigmented areas. Some patients who are resistant to depigmentation with drug monobenzone (Benoquin) will need Q Switch NDYAG Laser to destroy the pigment cells. Depigmentation in most patients is a permanent technique in which the whole body is gradually turned white.
Color (Camouflage)   Camouflage used to treat vitiligo can be classified into two- temporary and permanent. 
Temporary colouring is the method which intends to blend the white patches with the rest of the body s colour. The method is done using coloured creams to the affected skin. Those creams will have the same shade as that of the natural skin. Applying the creams make the patches less noticeable.
Tattooing (permanent coloring)   Tattooing is injecting artificial pigment into the depigmented area. After selecting the pigment shade which matches the surrounding skin color, the pigment granules are implanted into the depigmented patch either with a manual or electrically driven needles. Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1   2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.

Best Vitiligo Treatment  - Medical & Surgical Methods

Why Papaya is the God of Perfect Skin

Use a particular face wash and your face is free of all dead cells. it's not so simple. To dissolve the dead cells, the protein in the cells must be broken down. The only effective ingredients to do the job are AHAs or Alpha Hydroxy Acids. This is why many skin exfoliating products contain AHAs. 


Papain, which is found in Papaya has similar properties. Papaya is a safe and natural, plant-based alternative to chemical exfoliants. To remove dead cells, gently massage papaya pulp on your face for about 5-7 minutes. Rinse your face alternatively with warm and cold water.  Remember not to overdo it though! Papaya is an acidic fruit, so don’t let the mask sit on your face for too long as it might cause dryness and skin irritation.




Do You Know: Why Papaya is the God of Perfect Skin?

Eczema is a skin condition which is characterized by rough, cracked, red, itchy and inflamed skin. Sometimes it can also cause blisters. Eczema is also known as atopic dermatitis. It is a severe condition which starts during infancy and can go on throughout childhood. While some people may outgrow this condition, the rest might have it till adulthood.

Causes of Eczema:
1. Irritants- Certain irritants found in vegetables, meats, juices extracted from fresh fruits, disinfectants, shampoos, detergents and soaps can cause eczema.
2. Allergens- Dandruff, mold, pollens, pets and dust mites can also contribute to Eczema.
3. Microbes- Certain bacteria such as Staphylococcus Aureus, fungi and viruses can also cause eczema
4. Food products- Many people are allergic to food products such as wheat, soy products, seeds, nuts, eggs and dairy products. This might contribute to Eczema.
5. Stress- This doesn t cause eczema but can aggravate the symptoms of it.
6. Hormones- Women usually experience worsening of Eczema during certain stages of their menstrual cycle or during pregnancy.

Symptoms of eczema in infants and children:
1. Rashes appearing on the cheeks and scalp
2. Rashes which bubble up before fluid discharge
3. Rashes which cause itchiness and lead to disturbed sleeping; continuous scratching and rubbing can result in skin infections
4. Rashes which can appear behind the creases of the knees and the elbows; these rashes are also common on the legs, creases of the buttocks, ankles, wrists and neck.

Symptoms of Eczema in adults:
1. Rashes on the nape of the neck
2. Rashes on the eyes, face and neck
3. Rashes that can cause extremely dry skin
4. Extreme discomfort caused due to itching
5. Scaly skin caused due to rashes
6. Rashes which can result in skin infections
7. Lichenification, a condition wherein the rashes thicken and develop knots, is also a possibility.

How is Eczema treated?
1. Topical ointments and corticosteroid creams- These are anti-inflammatory medications which relieve symptoms of eczema such as itchiness and skin inflammation.
2. Antibiotics- These are usually prescribed if there is any underlying bacterial skin infection.
3. Antihistamines- These mainly reduce scratching at night. In some cases, it can also cause drowsiness.
4. Topical calcineurin inhibitors- This is a drug that suppresses activities of the immune system. It helps to prevent flare-ups and decrease inflammation.
5. Barrier repair moisturizers- These types of moisturizers repair the skin and reduce water loss from the skin.

Eczema - 5 Ways It Can Be Treated!

Hives is a very common condition and about 20% of the world has got it at some point in their lives. There are many causes to it ranging from blood transfusions to certain allergic reactions to food. It starts off as an itchy patch of skin but slowly swells and turns into red welts. There are certain factors which makes the itching worse including stress, alcohol and scratching the area of skin which was itchy in the first place. 

Causes
Here are all the causes and symptoms of hives:
1. Food
Allergic reactions to foods such as nuts, eggs and shellfish are a common cause of hives.

2. Medications
Certain medications also have a side effect of causing hives. Penicillin and sulfa are two of the antibiotics, which can cause hives. Ibuprofen and Aspirin are also two other medications, which are commonly known to cause hives.

3. Infections
Both bacterial and viral infections can lead to hives. Strep throat, urinary tract infections, common cold and hepatitis are some of many bacterial and viral infections, which may cause hives.

4. Stimuli
Certain factors such as temperature, pressure, sun exposure and other physical stimuli may cause hives as well.

5. Plants and animals
Dander in animals are the flakes of skin in their fur. Moreover, coming into contact with certain poisonous plants may cause hives.

6. Insects
When insects sting or bite you, you may get hives.

7. Latex
Latex is a type of rubber used in many types of clothing. It has been said that wearing clothing made out of latex can cause hives.

8. Pollen
Pollen is a light powdery substance produced by plants such as oak trees. It travels through the air and may cause hives if it comes into contact with your skin.

Symptoms
1. Bumps
Itchy red bumps appear on the skin when you have hives. Sometimes, the bumps can be skin-colored as well.
2. Blanching
When the bumps turn white after you press them, it is known as blanching. Blanching is the only clear symptom of hives.

Hives: Causes and Symptoms

Eczema is a common skin problem that appears as red, raised rashes on the skin, commonly the face, neck, elbows, hands, and feet. Considered as an allergic response, it is often seen in people who have a predisposition to other allergies like asthma, hay fever, hives, etc.

The good news is that these have identified patterns, and there are things that can be easily done which can prevent flare-ups.

Reduce soap: Soaps are known to dry the skin up and irritate the skin, so eczema flare-up is common in those who love to lather themselves up. If possible, switch to soap or body wash that contains moisturizer as reduce the bacterial load on the skin. People who live in hot and humid locations, such as Mumbai it is important that they cleanse their face completely, else it can lead eczema eruption. 
Moisturize: Keep a moisturizer handy at all times. Eczema is common when the skin is dry, so keep applying moisturizer at regular intervals and keep eczema at bay. Make it a habit to apply moisturizer soon after the bath. The moist skin soaks it in nicely and provides maximum benefit when applied this way.
Avoid artificial fragrances: While deodorants and skin care creams which contain fragrances smell appealing, they also cause irritation and are harsh on the skin. This exacerbates eczema, and so avoiding these products is advised.
Know your trigger: This could be anything from a dishwasher liquid to a bath soap or a deodorant to some plant in your garden. Over a period of time, you will be able to identify the trigger, and avoid it so that eczema does not flare up. Remember, it is a type of allergy after all.
Detergents for washing clothes: Using milder detergents, especially for undergarments, greatly helps. Also, wash these twice to get rid of all the soap. Avoid fabric softeners as they are fragrant and can cause irritation.
Avoid hot baths: While a hot bath at the end of a long day sounds very relaxing, it also leaves your skin dry. This can worsen the condition of eczema. Add to this the irritation from your bedspread and pillow covers. Unless you have the habit of applying copious amounts of moisturizer before going to sleep.
Cover up your hands and face: When possible, use gloves and a mask especially when washing dishes and using laundry detergents. This way, you can prevent dryness and irritation of the skin on the hands and prevent eczema.
Soak it in the tub: When you stay for about 20 minutes in a tub (no hot water though, but lukewarm), the skin absorbs moisture which prevents it from drying. This greatly helps prevent eczema.
Cut down stress: Like any allergy, eczema acts up when stressed, so manage it. There is no point stressing anyways!

Eczema - How To Prevent Its Flare-ups?

A lower body lift is also called a belt lipectomy, is an increasingly popular type of surgery. The aim of this surgery is to eliminate or improve excessive or sagging of thigh and buttock skin from the area. This surgery is mostly opted to enhance the physical appearance and is becoming increasingly popular these days.

Causes to undergo lower body lift
1. A lower body lift may be undergone when, due to extreme weight loss or advanced age, the skin in the buttocks, thighs and abdomen becomes loose and appears to be sagging 
2. Apart from loosening the skin, weight loss can also make the buttocks &amp; thighs and abdomen look deformed or de-shaped. In that case, a lower body lift helps the patient correct the area.

Lower body lift are most likely to be successful when: 
1. The layers of fat beneath the skin of the patient are relatively thin. 
2. The patient does not smoke, as smoking slows down the healing process and also increases the risk of post surgery complications. 
3. The patient's weight does not fluctuate a lot. He or she must have stable weight for at least a year before the surgery. 
4. The overall health of the patient is good, and he or she does not suffer from chronic medical conditions.

How is the surgery performed? 
1. Depending on the body type and other condition of the patient, the doctors make a circumferential incision at the waist or slightly below that area. 
2. After that, the excess fat or skin is removed from the soft tissue that is present there. Following this, the skin is closed up in layers and tightened.

Things to keep in mind before the surgery: 
1. It may take a few months to recover fully, post surgery
2. Weight gain or loss in the future may affect the results of the surgery.

All About Lower Body Lift

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